Jessica Basham

NPI #1386431971 in Hobart, Oklahoma

Provider Information

NPI Number: 1386431971
Entity Type: Individual
Name: Jessica Basham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 24, 2025
Last Updated: Apr 28, 2025

Practice Location

Address: 216 S MAIN ST
City: Hobart
State: Oklahoma
ZIP Code: 73651-3628
Phone: (405) 424-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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